• The inability to achieve or maintain an erection sufficient for sexual intercourse •Symptoms include erection problems, decreased desire, and psychological distress •Treatments include medications, injection therapy, a vacuum erection device, and penile implant•Involves urology
Having erection problems? What is erectile dysfunction (ED)? Learn about erectile dysfunction causes and treatments such as drugs (pills), pumps, and more.
These drugs are generally safe and effective for most men. They may not be appropriate for men with certain health conditions, such as severe heart disease, heart failure, uncontrolled high blood pressure, diabetes, or a history of stroke or heart attack. Men who take nitrate drugs cannot use PDE5 inhibitors. PDE5 inhibitors can also interact with other medications. Talk to your doctor about whether PDE5 inhibitor drugs are a safe choice for you.
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Don’t hold your breathDon’t push down — instead, squeeze your pelvic muscles together tightly as if you are trying to lift something up with those musclesTry to keep your stomach muscles relaxed throughoutRelax your pelvic floor muscles between each squeeze
What Are the Best Three Exercises for Erectile Dysfunction? Learn whether exercises can help and what other treatments can help to relieve your symptoms.
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Other medical therapies under evaluation include ROCK inhibitors and soluble guanyl cyclase activators. Melanocortin receptor agonists are a new set of medications being developed in the field of erectile dysfunction. Their action is on the nervous system rather than the vascular system. PT-141 is a nasal preparation that appears to be effective alone or in combination with PDE5 inhibitors. The main side effects include flushing and nausea. These drugs are currently not approved for commercial use.
“It’s also the blood vessels themselves that can become inflamed,” Berglund said, “which could cause an obstructive phenomenon and negatively impact the ability to get erections.”
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Your doctor might prescribe testosterone if your levels of this hormone are low. It won't help if circulation or nerve problems cause your ED.
Pull up on your pelvic floor. In order to do so, think of pulling in your genitals and lifting them up. Hold the muscles taut for five seconds before releasing for five. Try to perform ten repetitions several times a day.
A healthy lifestyle can prevent almost all cases of type 2 diabetes. A large research study called the Diabetes Prevention Program, found that people who made intensive lifestyle changes including diet and exercise reduced their risk of developing diabetes by 58%. Those over 60 years old seemed to experience extra benefit; they reduced their risk by 71%. In comparison, people who were given the drug metformin for diabetes prevention only reduced their risk by 31%.
Why no pills? Testosterone is available as a pill but some experts believe long-term oral delivery of testosterone can have negative effects on the liver. These other delivery methods bypass the liver (as they don't involve a pill being absorbed through the stomach/intestine) and go directly into the blood stream. QUESTION Testosterone is a chemical found only in men. See Answer
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“The fact is that science doesn’t know,” Sharlip says. His own advice to patients: “Do as the spirit moves you and make decisions about sexuality that are comfortable for you and your partner.”
The chances of erectile dysfunction go up as people grow old. However, age is not the only cause of the weak erection. Certain conditions and diseases can also cause erectile dysfunction. These include Type 2 diabetes Heart disease Obesity Benign enlargement of the prostate Hyperlipidemia (high lipid or cholesterol level) Atherosclerosis (clogged blood vessels that results in their hardening) Hypertension (high blood pressure) Chronic kidney disease Liver disease Parkinson’s disease Sleep disorders Low testosterone level Injury to the penis, prostate, or spinal cord Multiple sclerosis Peyronie’s disease (formation of scar tissue under the skin of the penis) Treatments for prostate cancer Radiation therapy Prostate surgery Surgery for bladder cancer
If there seems to be a psychological cause contributing to your erectile dysfunction, the doctor may ask the patient questions to help determine stressor, events, and relationship issues that may be causing your erectile troubles. It may be helpful to have your sexual partner involved in this assessment. Featured Centers Good and Bad Foods for PsoriasisVideo: Getting Personal on Life With MS Health Solutions From Our Sponsors Shot-Free MS Treatment Your Child and COVID-19
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Alprostadil injections or suppositoriesInjections into penis of a combination of other medicationsTestosterone replacement therapy (for men with low testosterone levels)Vacuum erection devicesPenile implantsVascular surgical procedures
Categories: Family Health, Men, Prevention and Wellness, Seniors, Sex and Birth Control, Sex and Sexuality
Experts often treat psychologically based impotence using techniques that decrease anxiety associated with intercourse. The patient's partner can help apply the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety during treatment of physical impotence. If these simple behavioral methods at home are ineffective, a doctor may refer an individual to a sex counselor. Readers Comments 2 Share Your Story
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Erectile dysfunction is a common symptom and causes problems in men. About 30 million men in the United States have erectile dysfunction. Based on this figure, more than 100 million men worldwide are sexually impotent. About 52% of men aged 40-70 years of sexual dysfunction among these people, there are many stressors that affect family relationships. And may cause depression, decreased self esteem and bad image of themselves. Drink up to 2 glasses of alcohol a day. Non smoking Consult a therapist about improving communication with your partner. 90/5 Moo 13, King Kaew Rd., Tambon Rachadeva, Amphoe Bangplee, Samutprakarn 10540
There have been reports of fatal heart attacks in a small percentage of men taking PDE5 inhibitors. These medications can cause sudden and dangerous drops in blood pressure when the drug is taken with nitrate drugs, which are used for angina. Common nitrate drugs include nitroglycerine (Nitrostat), isosorbide mononitrate (Monoket), isosorbide dinitrate (Dilartrate-SR), and sodium nitroprusside (Nitropress). Men who use nitrates, including related substances such as amyl nitrate ("poppers"), should never take sildenafil, vardenafil, tadalafil, or avanafil.
Type 2 diabetes is the most common type of diabetes. It is a chronic condition in which blood glucose (sugar) can no longer be regulated. There are two reasons for this. First, the cells of the body become resistant to insulin (insulin resistant). Insulin works like a key to let glucose (blood sugar) move out of the blood and into the cells where it is used as fuel for energy. When the cells become insulin resistant, moving sugar into the cells requires more and more insulin, and too much sugar stays in the blood. Over time, if the cells require more and more insulin, the pancreas can't make enough insulin to keep up and begins to fail.
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A recent study published in the Journal of Sexual Medicine reported that men with severe periodontal disease were three times more likely to have consistent difficulties having an erection. While this may be a case of correlation rather than causation, poor dental health has long been associated with vascular disease, which is known to contribute to ED.
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To get an erection, your brain, nerves, hormones, and blood vessels all need to work together. If something gets in the way of these normal functions, it can lead to erection problems.
But moderation is key: it's not necessary (or recommended!) to suddenly launch into a workout program that's designed for an Olympic athlete.
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A helpful timeline of the UroLift process, including what to expect almost immediately after treatment and when you’ll be able to return to work.
ED can have physical or psychological causes, and occasionally a combination of both. The causes of ED may include: Health conditions: Diabetes, heart disease, obesity, high cholesterol and other conditions can affect blood flow to the penis and contribute to ED. Medications: Drugs prescribed for high blood pressure, heart disease, depression and other mental health problems can cause erectile dysfunction. Lifestyle: Smoking, excessive drinking, drug use and diet can also contribute to ED. Psychological conditions: Stress, anxiety, depression and relationship problems can all cause or worsen ED.
Cannot be used by patients on MAOIsIntraurethral Pellet Therapy (MUSE)No surgery required
The most targeted exercise that you can do to help erectile dysfunction is strengthening your pelvic floor. Pelvic floor exercises can help men improve or even ultimately overcome ED.
Low testosterone levels. This can make it difficult to get an erection. It can also reduce a man's sex drive.Nerve damage from prostate surgery.Nicotine, alcohol, or cocaine use.Spinal cord injury.
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It’s well established that a lack of sufficient oxygen in the blood can lead to erectile dysfunction, he said.
Before treatment, men with ED should be assessed for their risk for cardiovascular disease. Men found to be at high risk include those with angina, recent history of heart attack, certain abnormal heart rhythms, and poorly controlled high blood pressure. These men should be evaluated and treated first before a trial of therapy for ED. Any risk factors for heart disease should be addressed in all men.
Systolic and diastolic are the two readings in which blood pressure is measured. The American College of Cardiology released new guidelines for high blood pressure in 2017. The guidelines now state that blood normal blood pressure is 120/80 mmHg. If either one of those numbers is higher, you have high blood pressure.
Individuals at higher risk for priapism (painful erection lasting longer than six hours), including men with sickle cell anemia, thrombocytopenia (low platelet count), polycythemia (increased red blood cell count), multiple myeloma (a cancer of the white blood cells), and history of blood clots (for example, deep venous thrombosis [DVT]) or hyperviscosity (thick blood) syndrome are at increased risk for priapism with MUSE.
There are also ED medications that can be delivered directly into the penis, either via injection or a dissolvable pellet.
I have severe erectile dysfunction, and it’s really affecting my self-esteem and marriage. I’ve been too embarrassed to seek help, but my wife has put her foot down and demanded I seek treatment for impotence. What is the treatment for severe ED?
Cholesterol can cause damage to blood vessel linings in all parts of the body – including the penis. Blockages caused by elevated cholesterol levels or plaques that restrict flowing blood can prevent erectile tissue from filling with blood. A healthy diet and lifestyle, including regular exercise, can help control these levels and the risk of developing ED. In addition, doctors may prescribe pharmaceuticals to lower cholesterol in the blood.
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Hypogonadism is classified as either primary or secondary. Primary hypogonadism is caused by diseases or defects in the testicles that affect the production of testosterone. Secondary hypogonadism is due to problems in the hypothalamus or pituitary gland that cause high levels of the hormone prolactin. Hypothalamus and pituitary abnormalities also cause low levels of other hormones such as follicle-stimulating hormone and luteinizing hormone. These hormonal imbalances can result in low libido and ED.
An erection problem that does not go away can make you feel bad about yourself. It can also harm your relationship with your partner. ED may be a sign of health problems such as diabetes or heart disease. So if you have an erection problem, do not wait to seek help. When to Contact a Medical Professional
As cholesterol, high blood pressure, diabetes and other health conditions can all contribute to erectile dysfunction, lifestyle changes may help. Lose weight if you're overweight. Exercise regularly: particularly activities that get the heart rate up, such as walking fast, dancing, gardening and cycling. Don’t smoke. Do antiretrovirals and other medications cause erectile dysfunction?
The Mayo Clinic is a go-to resource for data about ED. From diagnosis to treatment, this site can help you learn about your options when it comes to your sexual health.
Given that erectile dysfunction can be a sensitive marker of vascular pathology, it is also recommended that all patients with erectile dysfunction undergo an assessment of cardiovascular risk, including assessing risk factors for cardiovascular disease.
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Home Archive Volume 51, Issue 19 Physical activity and exercise for erectile dysfunction: systematic review and meta-analysis
It is recommend that the first trial of intraurethral prostaglandin be performed in the doctor's office due to the risk of hypotension with this medication.
There was nobody I felt I could turn to - I grew up without a dad and was too embarrassed to tell my school friends. They would have roasted me. Instead, I bantered about my sex life like everyone else.
By using advanced testing methods like this, our physicians can find the underlying causes of your ED and create more individual and effective erectile dysfunction treatments.
An erection problem occurs when a man cannot get or keep an erection that is firm enough for intercourse. You may not be able to get an erection at all. Or, you may lose the erection during intercourse before you are ready. Erection problems do not usually affect your sex drive.
The hard facts could provide additional motivation to do the exercise that doctors are perhaps already recommending to patients suffering from obesity, atherosclerosis, cardiac problems, or other conditions where the blood vessels do not work as well as they should.
The most common sexual problem in men as they age is erectile dysfunction (ED). In general, the younger a man is, the better his sexual function will be.
High blood pressure can damage blood vessels, and this damage may lead to cardiovascular disease – the leading cause of erectile dysfunction.
More blood flows into the penis. In the two flexible tubes of spongy tissue that extend the length of the shaft (the corpora cavernosa, or “cave-like bodies”), muscle tissue slackens. Their tiny caverns swell with blood, straining against the surrounding membranes. Blood gets trapped in the organ. The result is a longer, stiffer penis -- and also, because blood brings oxygen with it, a thoroughly oxygenated one.
Many men find relief through a combination of these treatments. Your doctor will help you decide the fastest and best method for curing your erectile dysfunction.
MetS is a combination of maladies that can cause ED. The five hallmarks of MetS are: hypertension, elevated fasting glucose levels, elevated triglycerides, central obesity, and reduced high density lipoprotein levels of cholesterol. MetS causes inflammation and hormonal imbalances that can lead to ED. Treatment for MetS can include lifestyle changes, testosterone replacement, pharmaceuticals, and bariatric surgery – such as gastric bypass.
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Patients could seek help from a physiotherapist who understands the disease, or sign up for a team sport such as football, which has also been shown to be particularly beneficial for health.
According to the American Urological Association, men who smoke or who have the following conditions are not candidates for penile vascular surgeries:
Men in their 40s with ED have a 50-fold increased risk of CVD and men in their 20s and 30s have a sevenfold increased CV risk.25
Not everyone can use these medicines. Your doctor may talk to you about alprostadil if oral medicines aren’t an option for you. Alprostadil is a synthetic version of prostaglandin E. It can be injected into the penis or inserted as a tiny suppository into the urethra (the hole at the end of the penis). Your doctor will help you decide which treatment is best for you.
Once you establish a routine exercise regimen, you feel fitter and leaner. This, in turn, improves self-esteem. "Nothing is sexier than self-confidence," Eilber said. Indeed, a 2019 study published in the Journal of Personality found women had more romantic interest in men with higher social confidence, whether that confidence was innate or trained.
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